Essential Health Benefits White Paper
... services that, at a minimum, must be included in the benefits defined by the Secretary. A review of the benefits provided under Medicare, BCBS-SO, state mandates, and the Medicaid EPSDT program for children suggests that the categories described in ACA may not adequately capture the range of service ...
... services that, at a minimum, must be included in the benefits defined by the Secretary. A review of the benefits provided under Medicare, BCBS-SO, state mandates, and the Medicaid EPSDT program for children suggests that the categories described in ACA may not adequately capture the range of service ...
Delta Dental Survey Finds That Children Must Brush Longer and
... findings from a survey¹ of American children’s oral health conducted in 2009. Among the most notable key findings: poor brushing and not enough brushing are the biggest obstacles keeping children from achieving and maintaining excellent oral health. In addition, these same areas raise the greatest c ...
... findings from a survey¹ of American children’s oral health conducted in 2009. Among the most notable key findings: poor brushing and not enough brushing are the biggest obstacles keeping children from achieving and maintaining excellent oral health. In addition, these same areas raise the greatest c ...
Cite this article as: Jeffrey A. Buck
... Funding Anomalies Although many substance abuse treatment providers rely on payments from health plans for some of their revenue, a large proportion do not. About 40 percent of nonprofit facilities do not accept either private insurance or Medicaid or both, and about half do not have any contracts w ...
... Funding Anomalies Although many substance abuse treatment providers rely on payments from health plans for some of their revenue, a large proportion do not. About 40 percent of nonprofit facilities do not accept either private insurance or Medicaid or both, and about half do not have any contracts w ...
Guideline on Management of Dental Patients With Special Health
... barriers to obtaining oral health care. Financing and reimbursement have been cited as common barriers for medically necessary oral health care.5 Families with SHCN children experience ...
... barriers to obtaining oral health care. Financing and reimbursement have been cited as common barriers for medically necessary oral health care.5 Families with SHCN children experience ...
Grow Up Smiling - May 2013 WORD - Children with Disability Australia
... prevalence and risk of dental problems in children with disability and the importance of continuity of care, it is crucial that these specific treatment needs are taken into account when developing any new dental assistance scheme. It is envisaged that the financial assistance provided through Grow ...
... prevalence and risk of dental problems in children with disability and the importance of continuity of care, it is crucial that these specific treatment needs are taken into account when developing any new dental assistance scheme. It is envisaged that the financial assistance provided through Grow ...
Dependent Coverage
... What are the new age requirements? 1. Coverage for group medical plans that offer dependent coverage generally must continue to provide coverage for an employee’s child until age 26. This means the last day of coverage for your child would be the day before the child’s 26th birthday. 2. Taxation for ...
... What are the new age requirements? 1. Coverage for group medical plans that offer dependent coverage generally must continue to provide coverage for an employee’s child until age 26. This means the last day of coverage for your child would be the day before the child’s 26th birthday. 2. Taxation for ...
Qualified Expenses for your Health Care Flexible Spending Account
... Surgical fees Lab fees Diagnostic fees X-rays, MRI and CAT Weight loss programs and fees pertaining to a specific disease • Reconstructive surgery in connection with birth defects, disease or accident • Orthodontist and dentist fees ...
... Surgical fees Lab fees Diagnostic fees X-rays, MRI and CAT Weight loss programs and fees pertaining to a specific disease • Reconstructive surgery in connection with birth defects, disease or accident • Orthodontist and dentist fees ...
Student Plan Document And Summary Plan Description
... In the event you or a dependent receive any benefits arising out of injury or illness for which you have or assert any claim or rights to recovery against a third party or parties, then any payment or payments by the Plan for such benefits shall be made on the condition and with the agreement and un ...
... In the event you or a dependent receive any benefits arising out of injury or illness for which you have or assert any claim or rights to recovery against a third party or parties, then any payment or payments by the Plan for such benefits shall be made on the condition and with the agreement and un ...
wk kellogg foundation supports community
... dental therapist programs as a way to expand access to oral health care. Community Catalyst, a national non-profit advocacy organization that works to build community leadership in the health care arena, will work with states to build coalitions and educate lawmakers on the dental therapist approach ...
... dental therapist programs as a way to expand access to oral health care. Community Catalyst, a national non-profit advocacy organization that works to build community leadership in the health care arena, will work with states to build coalitions and educate lawmakers on the dental therapist approach ...
NJ Oral Health Initiative on Building Medical and Dental
... Majority of children enrolled in NJ FamilyCare/Medicaid are in one or more ...
... Majority of children enrolled in NJ FamilyCare/Medicaid are in one or more ...
Delta Dental of Iowa Employee Summary of Covered Services and Benefits
... Root Canals (Endodontic Services) - Deductible Waived - Apicoectomy - Direct Pulp Cap - Pulpotomy - Retrograde Fillings - Root Canal Therapy Gum and Bone Diseases (Periodontal Services) - Deductible Waived - Conservative Procedures (Non-surgical) - Complex Procedures (Surgical) - Periodontal Mainten ...
... Root Canals (Endodontic Services) - Deductible Waived - Apicoectomy - Direct Pulp Cap - Pulpotomy - Retrograde Fillings - Root Canal Therapy Gum and Bone Diseases (Periodontal Services) - Deductible Waived - Conservative Procedures (Non-surgical) - Complex Procedures (Surgical) - Periodontal Mainten ...
American Academy of Pediatric Dentistry Caries Risk Assessment Tool
... No usual source of dental care Active caries present in the mother Children with special health care ...
... No usual source of dental care Active caries present in the mother Children with special health care ...
Integrating Physical and Behavioral Health Care
... patients with this challenge, and Medicaid programs are exploring opportunities to use a new cadre of “navigators” to serve in this role. The navigator workforce in behavioral health settings includes professionals such as nurses and licensed clinical social workers as well as paraprofessionals. The ...
... patients with this challenge, and Medicaid programs are exploring opportunities to use a new cadre of “navigators” to serve in this role. The navigator workforce in behavioral health settings includes professionals such as nurses and licensed clinical social workers as well as paraprofessionals. The ...
PACE Program Description - American Health Care Association
... Proposal This proposal describes our efforts to create an Accountable Care Organization with embedded medical education programs (Health Innovation Zone) that specifically serves high cost patients that are eligible for both Medicare and Medicaid. We have successfully installed 3 regional programs t ...
... Proposal This proposal describes our efforts to create an Accountable Care Organization with embedded medical education programs (Health Innovation Zone) that specifically serves high cost patients that are eligible for both Medicare and Medicaid. We have successfully installed 3 regional programs t ...
Waive preventive services from deductible and annual maximum
... • Encourages members to get preventive care when they need it ...
... • Encourages members to get preventive care when they need it ...
Smile Saver Dental Plan - Monroe Community College
... $50.00 family maximum. Annual Maximum - Basic and Major Restorative Services - $1,000.00 ...
... $50.00 family maximum. Annual Maximum - Basic and Major Restorative Services - $1,000.00 ...
Service Category Definitions Presentation
... Non-Medical Case Management Services (NMCM) provide guidance and assistance in accessing medical, social, community, legal, financial, and other needed services. Non-Medical Case management services may also include assisting eligible clients to obtain access to other public and private programs for ...
... Non-Medical Case Management Services (NMCM) provide guidance and assistance in accessing medical, social, community, legal, financial, and other needed services. Non-Medical Case management services may also include assisting eligible clients to obtain access to other public and private programs for ...
CoreMedSM major medical plans for individuals
... paid at 100% To help you prevent illness and diagnose any existing conditions as early as possible, we encourage you to use your preventive care benefits such as routine exams, mammograms and child immunizations. Your Assurant Health plan pays 100% of preventive services recommended under the Afford ...
... paid at 100% To help you prevent illness and diagnose any existing conditions as early as possible, we encourage you to use your preventive care benefits such as routine exams, mammograms and child immunizations. Your Assurant Health plan pays 100% of preventive services recommended under the Afford ...
Download PDF
... United States providing preventive and primary health care services. These centers are generally located in medically underserved rural and urban areas, and typically they offer complete physical examinations, treat acute illness and infectious disease, monitor chronic impairments, and perform labor ...
... United States providing preventive and primary health care services. These centers are generally located in medically underserved rural and urban areas, and typically they offer complete physical examinations, treat acute illness and infectious disease, monitor chronic impairments, and perform labor ...
Tips on Coding, Documentation and Billing
... and includes all the required Health Check components. In addition, the same code, such as a 99203, could also be set up with different rates by Program if the costs of providing a problem-focused exam differed by Program (for example, if they contract with an OB-GYN in the community to see their Ma ...
... and includes all the required Health Check components. In addition, the same code, such as a 99203, could also be set up with different rates by Program if the costs of providing a problem-focused exam differed by Program (for example, if they contract with an OB-GYN in the community to see their Ma ...
Reform Concepts Under Consideration
... Will need to consider whether program treatment services can be provided off-site. (Will align with policy behind direct reimbursement) Can a comprehensive assessment be provided off site? Client education as a reimbursable service would benefit from further clarification of the parameters of the se ...
... Will need to consider whether program treatment services can be provided off-site. (Will align with policy behind direct reimbursement) Can a comprehensive assessment be provided off site? Client education as a reimbursable service would benefit from further clarification of the parameters of the se ...
Falls in Nursing Homes
... unique talents in such a way that all are used to accomplish the goals and vision.” “people coming together as one . . . To create a culture or outcome consistent with the vision” ...
... unique talents in such a way that all are used to accomplish the goals and vision.” “people coming together as one . . . To create a culture or outcome consistent with the vision” ...
Update from Ohio Brain Injury Program
... PASSPORT. This move began in February 2015 and will be completed in June 2015. The TCOW will officially close on June 30th. It has been ensured that no one will lose services, providers, etc. As people move from TCOW they will now have access to selfdirected services with PASSPORT. Consumers who are ...
... PASSPORT. This move began in February 2015 and will be completed in June 2015. The TCOW will officially close on June 30th. It has been ensured that no one will lose services, providers, etc. As people move from TCOW they will now have access to selfdirected services with PASSPORT. Consumers who are ...